# SUFFOLK REHABILITATION MEDICINE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225084858
- **Authorized official:** DR. MIKE M PAPPAS DO (PRESIDENT)
- **Authorized official phone:** (917) 494-0914

## Contact information

- **Practice address:** 806 E MAIN ST, RIVERHEAD, NY 11901-2563
- **Practice address phone:** (631) 591-0840
- **Practice address fax:** (631) 591-0841
- **Mailing address:** PO BOX 1795, HUNTINGTON, NY 11743-0468
- **Mailing address phone:** (917) 494-0914
- **Mailing address fax:** (631) 591-0841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 222059 | NY | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 04/29/2024